Extracorporeal Anticoagulation With Bivalirudin; Is the Best Still to Come?
No abstract available (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Letters to the Editor Source Type: research
Cannulation Strategies in Ex Vivo Lung Perfusion
No abstract available (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Letters to the Editor Source Type: research
Impaired Blood Flow? Tension Pneumothorax on Extracorporeal Support
No abstract available (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Images in Mechanical Circulatory Support Source Type: research
Transapical Cannulation With a Dual Lumen Cannula for Mechanical Circulatory Support in Cardiogenic Shock
We describe a series of patients managed with transapical left ventricular mechanical circulatory support using a dual lumen cannula for the management of cardiogenic shock as a bridge to recovery or definitive decision. This support strategy may represent an additional option in the care for patients with cardiogenic shock that can provide full temporary anterograde mechanical circulatory support while potentially improving patient mobility and minimizing device-related complications. (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Case Reports Source Type: research
Erroneous Pressure Reading from an Unpowered Intra-aortic Balloon Pump: Case Report
We present a case of an unanticipated pressure output signal from a powered off Cardiosave IABP console resulting in an erroneous mean arterial blood pressure waveform being displayed during cardiopulmonary bypass. The patient suffered no ill effects and made a full recovery. As a result of this incident, our policies have been revised to ensure that all patients with an IABP brought to the operating room for surgery have at least two arterial lines, one of which is not off the IABP, to prevent future occurrences. (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Case Reports Source Type: research
Biventricular Assist Device Support for Intractable Arrhythmias From Histiocytoid Cardiomyopathy
We report a 13 month old girl with left ventricular noncompaction and preserved systolic function who presented in cardiogenic shock secondary to incessant ventricular arrhythmias. After failed attempts at chemical and electrical cardioversion, she underwent BiVAD implantation as bridge to transplantation. Her BiVAD course was complicated by mechanical inflow obstruction during sinus rhythm, necessitating left-sided cannulation revision from an apical to atrial inflow cannula. This maneuver resolved the obstruction and the patient was transitioned to Berlin EXCOR (Berlin Heart Inc, The Woodlands, TX) BiVADs. On Berlin pump...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Case Reports Source Type: research
Percutaneous Right Axillary Intra-aortic Balloon Pump in Patients with Advanced Heart Failure
No abstract available (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Brief Communication Source Type: research
Optimal Time for Recirculation with Ultrafiltration to Remove Disinfectant in Reused Dialyzer
This study was conducted to identify the most effective time for carrying out this procedure, and the factors affecting it. We studied 420 high-flux dialyzers with three different membrane types: FB210U (cellulose triacetate), F80S (polysulfone), and Elisio-210HR (polyethersulfone) at four reused cycles (5th, 10th, 15th, and 19th). Peracetic acid was used as the disinfectant at a concentration of 0.16%. The total cell volume (TCV) and clot inspection grade of the reused dialyzer were recorded before the procedure. The optimal time for disinfectant removal was independently determined by two observers using the residual per...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Renal/Extracorporeal Blood Treatment Source Type: research
Comparison of Hemostatic Changes in Pump-driven Extracorporeal Carbon Dioxide Removal and Venovenous Extracorporeal Membrane Oxygenation
Extracorporeal carbon dioxide removal (ECCO2R) has gained widespread use as a supposedly less invasive alternative for hypercapnic respiratory failure besides venovenous extracorporeal membrane oxygenation (VV ECMO). Despite technological advances, coagulation-related adverse events remain a major challenge in both therapies. The overlapping operating areas of VV ECMO and pump-driven ECCO2R could allow for a device selection targeted at the lowest risk of such complications. This retrospective analysis of 47 consecutive patients compared hemostatic changes between pump-driven ECCO2R (n = 23) and VV ECMO (n = 24) by applica...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pulmonary Source Type: research
Outcomes of Venovenous Extracorporeal Membrane Oxygenation in Viral Acute Respiratory Distress Syndrome
Our study assessed the relationship between the duration of venovenous extracorporeal membrane oxygenation (V-V ECMO) and patient outcomes. We studied patients undergoing V-V ECMO support for acute respiratory distress syndrome (ARDS) between 2009 and 2017 who were reported to the Extracorporeal Life Support Organization registry. We evaluated survival, major bleeding, renal failure, pulmonary complications, mechanical complications, neurologic complications, infection, and duration of V-V ECMO support. Multivariable regression modeling assessed risk factors for adverse events. Of the 4,636 patients studied, the mean suppo...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pulmonary Source Type: research
Evaluation of Bivalirudin Dosing in Pediatric Extracorporeal Membrane Oxygenation with Renal Insufficiency or Renal Replacement Therapy
Bivalirudin offers several important advantages of relevance to the management of extracorporeal membrane oxygenation (ECMO) patients. This multicenter retrospective analysis evaluated the bivalirudin dosing in pediatric ECMO and correlated these doses with the severity of renal dysfunction. A total of 75 patients were included in this analyses: estimated glomerular filtration rate (eGFR)> 60 ml/min/1.73 m2 (n = 29), eGFR 30–60 (n = 18), eGFR 60 was significantly higher than the dose required in those with renal impairment (0.25 mg/kg/hr in patients with eGFR> 60 and 0.19 mg/kg/hr in patients on RRT, 0.18 mg/kg/h...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pediatric Circulatory Support Source Type: research
Ventricular Assist Device Outcomes in Infants and Children With Stage 1 Single Ventricle Palliation
In conclusion, stage 1 SV patients undergoing VAD support have high preimplant illness severity and complexity, as well as significant morbidity and mortality postimplant. A variety of devices and strategies are employed by centers to support this challenging population. (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pediatric Circulatory Support Source Type: research
Impact of Continuous Renal Replacement Therapy on Bivalirudin Dosing in Pediatric Extracorporeal Membrane Oxygenation
There is an increasing interest in the use of bivalirudin for pediatric extracorporeal membrane oxygenation (ECMO) anticoagulation. However, dosing is not well described in those requiring continuous renal replacement therapy (CRRT). We aimed to determine whether CRRT affects bivalirudin dosing in pediatric ECMO patients. Children ≤18 years of age placed on ECMO and anticoagulated with bivalirudin for ≥24 hours from January 2019 to May 2020 were included. Bivalirudin doses were collected for 144 hours from initiation of bivalirudin or CRRT. Analysis was performed to determine whether CRRT, age, or weight affected bival...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pediatric Circulatory Support Source Type: research
Development of a Model for the Pediatric Survival After Veno-Arterial Extracorporeal Membrane Oxygenation Score: The Pedi-SAVE Score
Pediatric cardiac extracorporeal membrane oxygenation (ECMO) patients have high mortality rates. The purpose of our study was to develop and validate the Pediatric Survival After Veno-arterial ECMO (Pedi-SAVE) score for predicting survival at hospital discharge after pediatric cardiac veno-arterial (VA) ECMO. We used data for pediatric cardiac VA-ECMO patients from the Extracorporeal Life Support Organization registry (1/1/2001–12/31/2015). Development and validation cohorts were created using 2:1 random sampling. Predictors of survival to develop pre- and postcannulation models were selected using multivariable logistic...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pediatric Circulatory Support Source Type: research
Meet the Authors
No abstract available (Source: ASAIO Journal)
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Pediatric Circulatory Support Source Type: research
